Kiszka Kinga, Haduch Jerzy, Pasowicz Mieczysław
Szpital im. Jana Pawła II w Krakowie, Ośrodek Diagnostyki, Prewencji i Telemedycyny, Kraków.
Przegl Lek. 2009;66(8):437-47.
Computer aided diagnosis (CAD) is a currently applied computerized analysis of medical images and is widely used as a tool in detection and differential diagnosis of abnormalities in medical imaging. In clinical practice CAD became a very useful implement in various imaging techniques such as mammography, radiography, CT, MRI or diagnostic ultrasound. CAD became also a major research subject in clinical radiology e.g. in detection of pulmonary nodules in chest CT or breast cancer on mammograms. CAD concept, unlike known from 1960s automated computer diagnosis concept (ACD), which is based on computer algorithms only takes into account equally the roles of physician and computer. Current directions in CAD development focus on continuous improvement of overall performance in detection of pathological lesions and assembling CAD schemes as packages implemented as a part of PACS system. The aim of this article is presentation of the concept of computer aided diagnosis, current opportunities of adopting CAD systems into various imaging techniques and new directions in CAD development.
计算机辅助诊断(CAD)是目前应用的医学图像计算机化分析方法,在医学成像中作为检测和鉴别异常的工具被广泛使用。在临床实践中,CAD在各种成像技术中成为非常有用的工具,如乳腺摄影、放射摄影、CT、MRI或诊断超声。CAD也成为临床放射学的一个主要研究课题,例如在胸部CT中检测肺结节或在乳腺X线照片上检测乳腺癌。与20世纪60年代已知的仅基于计算机算法的自动计算机诊断概念(ACD)不同,CAD概念同样重视医生和计算机的作用。CAD发展的当前方向集中在不断提高检测病理病变的整体性能,以及将CAD方案组装成作为PACS系统一部分实施的软件包。本文的目的是介绍计算机辅助诊断的概念、将CAD系统应用于各种成像技术的当前机会以及CAD发展的新方向。